Post surgery PSA after 3 months was 1.77

Sorry gleason score was 3+4=7

A Gleason score of 1.77 3 months after surgery means that there’s still something producing PSA in your body. It is expected that the PSA will be undetectable at three months < .1. Having it that high means, you probably have a metastasis somewhere in your body. I am puzzled as to why your doctor is not doing something right away.

When the PSA hits .2 they normally want to do salvage radiation. You are way beyond that point.

With a PSA over 1 you should be getting a PSMA pet test immediately. That can find where the PSA is being produced and possibly zap it. I am just wondering why your doctor is letting this go, You need to find a center of excellence to treat you, You are not getting the proper treatment for somebody in situation.

You need to contact the doctor and if they can’t do something, you want to ask for a radiation oncologist or a genito urinary oncologist Who can direct your treatment. GU Oncologist specialize in prostate cancer unlike many medical oncologist.

Don’t delay you need to get this resolved right away. You don’t want to wait until February you should’ve already had that PET scan.

Your PSA after 3 mos post surgery should have been less than 0.1 , as Jeff stated .

There is no reason to wait for 3 more months before doing something : (((. Please at least check your PSA again NOW and see if it went down from 1.7 ! If it went up please find another doctor ASAP !!!

The doctor told me that the next treatment is radiation and it can be done
only after six months of surgery.

With Regards,
Joseph T J.

@josephtj the more you can heal from surgery the better, but you don’t want any cancer left behind to get a foothold either. I had a 9.4 PSA after surgery and started radiation 3 months later. I’d get that PSA test now and hope your number has come down or get some treatment soon. Probably some Lupron to go with it unfortunately. Good luck,

Thank you for your response

With Regards,
Joseph T J.

My PSA was .37 eight weeks post surgery.
I developed Ileus
(A temporary paralysis or slowing of the intestinal muscles, preventing forward movement of contents) as a result of the anesthesia. I lost 30 pounds as a result of that.
We wait four months before salvage radiation for me to regain some strength.I was not put on any ADT.
My PSA almost doubled over the seven weeks of radiation. PET/CT scans didn't find anything. My urologist still did not put me on ADT.
After that I decided that I needed an Oncologist that specialized in Prostate Cancer.
DO NOT WAIT.
DO NOT MAKE THE SAME MISTAKE.
GET A GENITOURINARY ONCOLOGIST NOW!

@aldenrobert Yes, excellent advice. Get on Orgovyx RIGHT NOW.
Surgeons always want you to ‘wait’ - crossing their fingers that their surgery will be a ‘success’…such stupid thinking…
Phil

PSA in Nov after RP in Aug was .19

Surgeon immediately referred me to Radiation Oncologist and ordered a repeat PSA w/in 30 days, which reported .18 confirming "persistent" PSA.

RO appt in Dec and Salvage Radiation Treatment recommended. Mapping in Jan and treatment initiated in Feb/Mar.

PSMA Pet Scan also performed to rule in/out metastatic spread.

It takes time to organize and begin SRT, and the 6 mo post RP healing period will be subsumed in the process.

As others have suggested, have confirming PSA as soon as possible and if PSA continues elevated, initiate SRT protocol.

Best wishes.

Thank you.